Diagnosis and follow-up of posterior inferior cerebellar artery dissection complicated with ischemic stroke assisted by T1-VISTA: a report of two cases.

Autor: Koji Ishitsuka, Yusuke Sakaki, Shota Sakai, Takeshi Uwatoko, Hitoshi Aibe, Tetsuro Ago, Takanari Kitazono, Hiroshi Sugimori, Ishitsuka, Koji, Sakaki, Yusuke, Sakai, Shota, Uwatoko, Takeshi, Aibe, Hitoshi, Ago, Tetsuro, Kitazono, Takanari, Sugimori, Hiroshi
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Zdroj: BMC Neurology; 7/29/2016, Vol. 16, p1-5, 5p, 1 Color Photograph, 2 Black and White Photographs
Abstrakt: Background: Volume isotropic turbo spin-echo acquisition (VISTA) is a new method similar to the 3D black-blood imaging method that enables visualization of a intramural hematoma. T1-VISTA has recently been applied in the diagnosis of intracranial arterial dissection. However, the identification of an intramural hematoma in posterior inferior cerebellar dissection (PICA-D) by T1-VISTA has only rarely been reported. Case Presentation: We herein report two patients who suffered from PICA-D complicated with ischemic stroke. Initial magnetic resonance arteriography was not informative, however, T1-VISTA depicted high-intensity signal areas suggesting an intramural hematoma of PICA-D in both cases. The high-intensity signal areas gradually reduced and finally disappeared at 4 months and 5 months after the onset, respectively. Conclusion: Our cases demonstrate that T1-VISTA was able to assist in the diagnosis and follow-up of PICA-D. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index